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New Hampshire rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.15 / $244.15 / $292.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.66 / $195.31 / $244.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.94 / $311.94 / $450.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.92 / $415.92 / $493.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $216.09 / $216.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $251.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.75 / $336.75 / $1,039.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.66 / $161.94 / $181.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $207.50 / $260.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.75 / $326.10 / $479.37